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Pamela Cothran Marsh
Pamela Cothran Marsh
Visitors: 37
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Bar #57400(FL)     License for 29 years
Tallahassee FL

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08-003616  HUMANA MEDICAL PLAN, INC. vs OFFICE OF INSURANCE REGULATION  (2008)
Division of Administrative Hearings, Florida Filed: Jul. 23, 2008
The issues presented are (1) whether the Subscriber Assistance Panel had jurisdiction to hear the Subscriber's appeal; (2) whether this matter is properly before the Division of Administrative Hearings; and (3) whether the cold water therapy device utilized by the Subscriber is covered under the subject Humana commercial policy.Cold water therapy device is determined to be a convenience item and, therefore, excluded from coverage as failing to meet all the criteria in the definition of durable medical equipment contained within the Certificate of Coverage.
07-002650BID  AIDS HEALTHCARE FOUNDATION DISEASE MANAGEMENT OF FLORIDA, INC. vs AGENCY FOR HEALTH CARE ADMINISTRATION  (2007)
Division of Administrative Hearings, Florida Filed: Jun. 12, 2007
Whether, in making a preliminary decision to award a contract for the subject services, Respondent acted contrary to a governing statute, rule, policy, or project specification; and, if so, whether such misstep(s) was/were clearly erroneous, arbitrary or capricious, or contrary to competition. Also at issue is whether Petitioner’s response to the subject Request for Proposal (RFP) was responsive and whether Petitioner has standing to bring this proceeding.Petitioner`s bid was non-responsive. Respondent had insufficient information to ensure that Intervenor was a responsible bidder.

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